Healthcare Provider Details

I. General information

NPI: 1124205604
Provider Name (Legal Business Name): ACTIVEPT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2008
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 HWY 63 N STE 110
ROCHESTER MN
55906-4159
US

IV. Provider business mailing address

PO BOX 7197
ROCHESTER MN
55903-7197
US

V. Phone/Fax

Practice location:
  • Phone: 507-322-3460
  • Fax: 507-322-3450
Mailing address:
  • Phone: 800-287-0171
  • Fax: 800-287-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCINE MARIE KOVASH
Title or Position: OPERATIONS ASSISTANT
Credential:
Phone: 507-322-3460